make sense of the situation and grasp what is necessary to achieve goals

cognitive skills

manipulate equipment skillfully to produce desired outcomes

technical skills

establish and maintain caring relationships that facilitate

interpersonal skills

term for sweats alot

diaphoretic

heat comes off head most

radiation

fan yourself

convection

sweat

evaporation

put ice pack on

conduction

what regulates the pulse?

SA node

what is the most powerful respiratory stimulant

increase in carbon dioxide

what is blood pressure measuring?

force of the blood against arterial walls

what are you listening for with your stethoscope while checking blood pressure?

korotkoff sounds

normal pulse rate?

60-100 (average 80)

normal blood pressure?

135/85

normal respirations?

12-20

each healthcare group keeps data on its own separate form. makes it difficult to track problems chronologically, include progress notes and narrative notes

source oriented records

designed around a patients problems rather than around sources of information, advantages: entire healthcare team works together in identifying a master list of patient problems

problem oriented medical records (POMR)

what are narrative notes?

progress notes written by the nurse

what format is used in problem oriented medical records?

SOAP

plan of care is incorporated into the progress notes in which problems are identified by number, saves time and promotes continuity of care, but does not have a formal plan of care

PIE charting

column used for many aspects of the patients needs for the nurse to focus on, ex. therapies, consultations, significant events, charting is holistic

focus charting

a shorthand documentation method that makes use of well-defined standards of practice, only significant findings are documented in narrative notes, decreases charting time but does not prove high-quality safe care

charting by exception

managed care's emphasis on quality, cost effective, care delivered within a limited time frame. promotes collaboration, communication and teamwork among caregivers, however it works best when there are few individualized needs.

case management model

when patient fails to meet an expected outcome or a planned intervention is not implemented in the case management model this format is implicated.

variance charting

normal charting for case management model

collaborative pathways/ critical pathoways

a folded card where patient info is recorded and stored in a central place where all health professionals can access it easily to get info about the patient